2007-04-30_REPORT - M1987024 - Laserfiche WebLink

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ANNUAL FEE an~REPORT REQUEST PERMITTEE NAME: iWestern Gravel, Inc. PERMIT NO.: ~f-1987-024 OPERATION NAME: Corey Gravel Pit #3 ANNNERSARY DATE: April 17, 2007 ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) COUNTY: Montrose Of/SgpR J7o ~~ ..-lGnngand Sa @~0 n r According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report man to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated man. If no new disturbances or reclamation have occurred durinc the previous year and no new chances to the previous year's map are necessary, then no new map is required, provided that the Onerator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Judy DeVincentis Permittee Name: Western Gravel, Inc. Address: 3001 N. Townsend Ave. Montose, CO 81401 Phone Number: (970) 249-2431 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Si re of porate O icer, Owner, or Designee ~Z~? Date